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MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 401k Plan overview

Plan NameMDRIPPY INSURANCE SERVICES RETIREMENT PLAN
Plan identification number 001

MDRIPPY INSURANCE SERVICES RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MDRIPPY INSURANCE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:MDRIPPY INSURANCE SERVICES, INC.
Employer identification number (EIN):462805753
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MDRIPPY INSURANCE SERVICES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MELISSA RIPPY
0012017-01-01
0012016-01-01MELISSA RIPPY MELISSA RIPPY2017-09-27
0012015-01-01MELISSA RIPPY MELISSA RIPPY2016-10-17
0012014-01-01MELISSA RIPPY MELISSA RIPPY2015-05-04
0012013-05-20MELISSA RIPPY MELISSA RIPPY2014-07-22

Plan Statistics for MDRIPPY INSURANCE SERVICES RETIREMENT PLAN

401k plan membership statisitcs for MDRIPPY INSURANCE SERVICES RETIREMENT PLAN

Measure Date Value
2022: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012
Total number of active participants reported on line 7a of the Form 55002022-01-013
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-013
Number of participants with account balances2022-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011
Total number of active participants reported on line 7a of the Form 55002021-01-011
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011
Number of participants with account balances2021-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013
Total number of active participants reported on line 7a of the Form 55002020-01-011
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011
Number of participants with account balances2020-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012
Total number of active participants reported on line 7a of the Form 55002019-01-013
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-013
Number of participants with account balances2019-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011
Total number of active participants reported on line 7a of the Form 55002018-01-012
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012
Number of participants with account balances2018-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011
Total number of active participants reported on line 7a of the Form 55002017-01-011
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011
Number of participants with account balances2017-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013
Total number of active participants reported on line 7a of the Form 55002016-01-011
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011
Number of participants with account balances2016-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-013
Number of participants with account balances2015-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011
Total number of active participants reported on line 7a of the Form 55002014-01-011
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011
Number of participants with account balances2014-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-201
Total number of active participants reported on line 7a of the Form 55002013-05-201
Number of retired or separated participants receiving benefits2013-05-200
Number of other retired or separated participants entitled to future benefits2013-05-200
Total of all active and inactive participants2013-05-201
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-05-200
Total participants2013-05-201
Number of participants with account balances2013-05-201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-05-200

Financial Data on MDRIPPY INSURANCE SERVICES RETIREMENT PLAN

Measure Date Value
2022 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$136
Total income from all sources2022-12-31$223,882
Expenses. Total of all expenses incurred2022-12-31$377
Total plan assets at end of year2022-12-31$972,924
Total plan assets at beginning of year2022-12-31$749,283
Value of fidelity bond covering the plan2022-12-31$75,000
Total contributions received or receivable from participants2022-12-31$9,829
Other income received2022-12-31$206,006
Net income (gross income less expenses)2022-12-31$223,505
Net plan assets at end of year (total assets less liabilities)2022-12-31$972,788
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$749,283
Assets. Value of participant loans2022-12-31$5,767
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022022-12-31$101
Assets. Value of employer securities2022-12-31$900,013
Total contributions received or receivable from employer(s)2022-12-31$8,047
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$377
2021 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2021 401k financial data
Total income from all sources2021-12-31$132,948
Expenses. Total of all expenses incurred2021-12-31$341
Total plan assets at end of year2021-12-31$749,283
Total plan assets at beginning of year2021-12-31$616,676
Value of fidelity bond covering the plan2021-12-31$75,000
Total contributions received or receivable from participants2021-12-31$11,458
Other income received2021-12-31$112,323
Net income (gross income less expenses)2021-12-31$132,607
Net plan assets at end of year (total assets less liabilities)2021-12-31$749,283
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$616,676
Assets. Value of participant loans2021-12-31$7,265
Assets. Value of employer securities2021-12-31$684,360
Total contributions received or receivable from employer(s)2021-12-31$9,167
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$341
2020 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-12-31$107,693
Expenses. Total of all expenses incurred2020-12-31$306
Total plan assets at end of year2020-12-31$616,676
Total plan assets at beginning of year2020-12-31$509,289
Value of fidelity bond covering the plan2020-12-31$53,000
Total contributions received or receivable from participants2020-12-31$8,042
Other income received2020-12-31$93,218
Net income (gross income less expenses)2020-12-31$107,387
Net plan assets at end of year (total assets less liabilities)2020-12-31$616,676
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$509,289
Assets. Value of participant loans2020-12-31$8,324
Assets. Value of employer securities2020-12-31$580,554
Total contributions received or receivable from employer(s)2020-12-31$6,433
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$306
2019 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2019 401k financial data
Total income from all sources2019-12-31$128,012
Expenses. Total of all expenses incurred2019-12-31$172
Total plan assets at end of year2019-12-31$509,289
Total plan assets at beginning of year2019-12-31$381,449
Value of fidelity bond covering the plan2019-12-31$40,000
Total contributions received or receivable from participants2019-12-31$5,320
Other income received2019-12-31$118,436
Net income (gross income less expenses)2019-12-31$127,840
Net plan assets at end of year (total assets less liabilities)2019-12-31$509,289
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$381,449
Assets. Value of employer securities2019-12-31$491,215
Total contributions received or receivable from employer(s)2019-12-31$4,256
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$172
2018 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$215,536
Expenses. Total of all expenses incurred2018-12-31$115
Total plan assets at end of year2018-12-31$381,449
Total plan assets at beginning of year2018-12-31$166,028
Value of fidelity bond covering the plan2018-12-31$40,000
Total contributions received or receivable from participants2018-12-31$150
Other income received2018-12-31$215,266
Net income (gross income less expenses)2018-12-31$215,421
Net plan assets at end of year (total assets less liabilities)2018-12-31$381,449
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$166,028
Assets. Value of employer securities2018-12-31$375,000
Total contributions received or receivable from employer(s)2018-12-31$120
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$115
2017 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$47,687
Expenses. Total of all expenses incurred2017-12-31$121
Benefits paid (including direct rollovers)2017-12-31$16
Total plan assets at end of year2017-12-31$166,028
Total plan assets at beginning of year2017-12-31$118,462
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$1,396
Other income received2017-12-31$45,175
Net income (gross income less expenses)2017-12-31$47,566
Net plan assets at end of year (total assets less liabilities)2017-12-31$166,028
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$118,462
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$194
Assets. Value of employer securities2017-12-31$159,192
Total contributions received or receivable from employer(s)2017-12-31$1,116
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$105
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$-23,746
Expenses. Total of all expenses incurred2016-12-31$5,935
Benefits paid (including direct rollovers)2016-12-31$5,770
Total plan assets at end of year2016-12-31$118,462
Total plan assets at beginning of year2016-12-31$148,143
Value of fidelity bond covering the plan2016-12-31$15,000
Total contributions received or receivable from participants2016-12-31$1,593
Expenses. Other expenses not covered elsewhere2016-12-31$-12
Other income received2016-12-31$-26,613
Net income (gross income less expenses)2016-12-31$-29,681
Net plan assets at end of year (total assets less liabilities)2016-12-31$118,462
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$148,143
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-12-31$453
Assets. Value of employer securities2016-12-31$114,963
Total contributions received or receivable from employer(s)2016-12-31$1,274
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$177
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$51,244
Expenses. Total of all expenses incurred2015-12-31$1,639
Benefits paid (including direct rollovers)2015-12-31$1,501
Total plan assets at end of year2015-12-31$148,143
Total plan assets at beginning of year2015-12-31$98,538
Value of fidelity bond covering the plan2015-12-31$15,000
Total contributions received or receivable from participants2015-12-31$3,501
Expenses. Other expenses not covered elsewhere2015-12-31$12
Other income received2015-12-31$44,870
Net income (gross income less expenses)2015-12-31$49,605
Net plan assets at end of year (total assets less liabilities)2015-12-31$148,143
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$98,538
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-12-31$259
Assets. Value of employer securities2015-12-31$142,090
Total contributions received or receivable from employer(s)2015-12-31$2,873
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$126
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$33,653
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$98,538
Total plan assets at beginning of year2014-12-31$64,885
Other income received2014-12-31$33,653
Net income (gross income less expenses)2014-12-31$33,653
Net plan assets at end of year (total assets less liabilities)2014-12-31$98,538
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$64,885
Assets. Value of employer securities2014-12-31$97,037
2013 : MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$64,885
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$64,885
Contributions received from other sources (not participants or employers)2013-12-31$77,683
Other income received2013-12-31$-12,798
Net income (gross income less expenses)2013-12-31$64,885
Net plan assets at end of year (total assets less liabilities)2013-12-31$64,885
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Assets. Value of employer securities2013-12-31$63,385

Form 5500 Responses for MDRIPPY INSURANCE SERVICES RETIREMENT PLAN

2022: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MDRIPPY INSURANCE SERVICES RETIREMENT PLAN 2013 form 5500 responses
2013-05-20Type of plan entitySingle employer plan
2013-05-20First time form 5500 has been submittedYes
2013-05-20Submission has been amendedNo
2013-05-20This submission is the final filingNo
2013-05-20This return/report is a short plan year return/report (less than 12 months)Yes
2013-05-20Plan is a collectively bargained planNo
2013-05-20Plan funding arrangement – TrustYes
2013-05-20Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $49
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $48
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $21
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $13
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7
Insurance broker organization code?3
Insurance broker nameLORENZ SEAN MICHAEL
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number691092
Policy instance 1
Insurance contract or identification number691092
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $39
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLORENZ SEAN MICHAEL

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